Individual
DR. KELECHI O OGBONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
500 VINE ST, HARTFORD, CT 06112-1639
(860) 293-6418
Mailing address
500 VINE ST, HARTFORD, CT 06112-1639
(347) 263-7656
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
51587
CT
Other
Enumeration date
02/10/2013
Last updated
11/02/2014
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